Ovidiu Cristian Andronesi1, Robert Frost1, Nicolas Sebastian Arango2, Nutandev Bikkamane Jayadev3, Yulin Chang3, Paul Wighton1, Malte Hoffmann1, Jason Stockmann1, and Andre van der Kouwe1
1Radiology, Martinos Center for Biomedical Imaging, Harvard Medical School, Massachusetts General Hospital, Boston, MA, United States, 2Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 3Siemens Medical Solutions, Boston, MA, United States
Synopsis
Keywords: Motion Correction, Motion Correction, Real-time shimming, Multicoil shim array, Metabolic Imaging
Motivation: Very high quality of MR spectroscopic imaging (MRSI) data is needed for robust and reproducible metabolite quantification. This critically depends on the B0 shimming and scan stability. Integrated RF-receive/B0-shim arrays significantly improve spectral quality.
Goal(s): Real-time motion correction and multicoil shimming update with an integrated RF-receive/B0-shim array for robust whole-brain MRSI.
Approach: We developed a rapid navigator for head tracking and B0 fieldmapping in combination with rapid processing for real-time update of multicoil shim currents and MRSI localization.
Results: Real-time motion correction and multicoil shimming provides significantly narrower linewidth, higher signal-to-noise, reduced quantification errors and reproducible metabolic imaging.
Impact: Whole-brain MRSI is a
unique method for non-invasive mapping of brain neurochemistry, and in
combination with real-time motion correction and multicoil shim array update
provides robust and reproducible quantitative metabolic imaging for clinical use.
INTRODUCTION
Magnetic resonance spectroscopic imaging
(MRSI) allows non-invasive mapping of
in-vivo metabolism [1]. High resolution whole-brain MRSI has great value to investigate
healthy brain and disease pathology [2] but its performance is severely limited
when spectral resolution and signal-to-noise is not adequate to resolve overlapping
metabolite peaks. Low MRSI data quality due to motion artifacts and suboptimal
B0 shimming hamper metabolite quantification [3].
Integrated RF-receive/B0-shim
arrays (AC/DC) provide ultra-fast switchable high-order shimming to improve B0
field homogeneity [4,5]. However, real-time update of AC/DC multicoil shim
currents is needed for preserving B0 field homogeneity in the
presence of head motion to maintain consistently high MRSI quality, which is the
goal and newly demonstrated in this work. METHODS
Pulse
sequence:
Whole-brain 3D MRSI pulse sequence using
adiabatic spin echo and spiral spatial-spectral encoding was interleaved with
an accelerated dual-echo EPI volume navigator (vNav) for real-t×ime motion
correction and shimming [5]. The measurements were performed on a 3T whole-body
MRI system (MAGNETOM Prisma, Siemens Healthcare, Erlangen, Germany) with a 32-channels
AC/DC coil. 3D MRSI was acquired in 4:08 min with TR = 1.8 s, TE = 97 ms, FOV =
220×220×73 mm3, matrix 30×30×10, isotropic voxel 7.3 mm3, spectral window 1350 Hz, and
5ms×20kHz GOIA pulses for slab selection. The dual-echo EPI volume
navigator was accelerated 8x with GRAPPA parallel imaging and acquired in 378
ms, using TR = 12 ms, TE1/TE2 = 3.9/6.3 ms,
FOV = 240×240×150 mm3, matrix 48×48×30, isotropic voxel 5 mm3, flip angle 2°. Details
of the pulse sequence are presented in Figure 1.
Real-time
motion correction and multicoil shimming update:
For each TR, pose changes are computed online
by co-registering the magnitude image of the latest vNav to the initial vNav,
using PACE (Prospective Acquisition Correction [6]), and this was used
to update all imaging gradients and RF pulses, and the brain mask [7] used for
shimming. B0 field maps were obtained from difference phase images by PRELUDE (Phase
Region Expanding Labeller for Unwrapping Discrete Estimates [8]). The shim currents
for ACDC were calculated [9,10] over the brain mask by linearly constrained
quadratic optimization problem, solved with OSQP [11] which took less than 100
ms each TR. The total processing time for all the steps needed for localization
and shim update was 600 ms which was inserted between the end of vNav and the start
of MRSI. Details of the pipeline are presented in Figure 2.
Human experiments:
Four healthy volunteers were scanned with
informed consent. Each volunteer had five MRSI measurements: 1) resting with
second order spherical harmonics shimming (Rest 2SH) using scanner hardware, 2)
resting with AC/DC shimming (Rest ACDC), 3) head motion with real-time motion
correction and AC/DC shim update (Motion RT-ACDC), 4) head motion with real-time
motion correction but no AC/DC shim update (Motion ST-ACDC), 5) head motion with
no correction (Motion NoCo). For head-motion experiments subjects were
instructed to consistently reproduce in each measurement the right-left and
nodding movements that are typical in clinically scans.RESULTS
Figure 3 compares MRSI results of the five
measurements obtained from a healthy volunteer. Maps of metabolic concentration,
spectral linewidth, signal-to-noise and fitting error (CRLB) show that data
obtained during motion with full corrections (Motion RT-ACDC) is comparable
with data obtained under resting (Rest 2SH and Rest ACDC) conditions. By
contrast, data obtained during motion with no correction (Motion ST-ACDC and Motion
NoCo) are significantly worse than resting scans. Examples of the spectra for
all scans show that spectral quality under motion is maintained for Motion
RT-ACDC, but is heavily degraded for Motion ST-ACDC and Motion NoCo.
Figure 4 quantitatively
compares the spectral quality and reproducibility of metabolite quantification
in all four subjects across the five measurements. The spectral quality and
reproducibility of Motion RT-ACDC is similar to the resting scans and substantially
improves over Motion ST-ACDC and Motion NoCo. In particular, the reproducibility
of metabolite quantification of the last two scans has a large ±100% variability. CONCLUSIONS
We present a rapid navigator framework which
is compatible with real-time motion correction and multicoil AC/DC shim array update to improve
the quality of MRSI and the reproducibility of quantitative metabolic imaging.
It is expected that this methodology will improve the robustness of MRSI in
clinical routine and augment its clinical utility.Acknowledgements
Dr. Aaron Hess and
Dr. Dylan Tisdall for developing parts of the navigator software for real-time
motion and shim correction. Dr Wolfgang Bogner, Dr Bernhard Strasser and Dr Borjan Gagoski for developing parts of the MRSI software for real-time
motion and shim correction. Funding from the NIH grants R01CA255479, 2R01CA211080-06A1, R21EB029641, R01AG079422, R01HD110152.References
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